JOSEPH C BRUTZKUS MD Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002818

License Status

NOT RENEWED

Business

Title

First Name

JOSEPH

Middle

Last Name

BRUTZKUS

Business Name

JOSEPH C BRUTZKUS MD

Original Issue Date

08/13/2009

Effective Date

05/20/2014

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016